HomeMy WebLinkAbout424 S Oak St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application N~unber ..... 03-00000458 Date 5/09/03
Property Address ...... 424 S OAK ST
~SESSOR pARCEL /~L~4BER: 0630000087720000
A~plication description . . . RES REMODEL
Property Zoning .......
Application valuation .... 2200
Owner Contractor
SURRATT RICK OWNER
PO BOX 3044
SEQUIM WA 983825002
Permit ...... BUILDING PEP-MIT -RESIDENTIAL
Additional desc . . INSTALL 4 NEW WINDOWS, SIDING
Permit Fee .... 106.75 Plan Check Fee . . 42.70
Issue Date .... 5/09/03 Valuation .... 2200
Expiration Date , . 11/05/03
Qty Unit Charge Per :~n
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees ......... STATE SURC~L~RGE ~
..................................................
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within '180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certi~ that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not The grenting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local I..a~w regulating construction or the performance of
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner ia builder) Date
T:\PLANNING\FORMS\1102.15 [4/20021
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Dat¢Rec.:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved:
COMPLETE to be accepted for review. If you have any questions, call Date Issued:
(360) 417-4815
Applicant or Agent: ~1~[~-~-- q~t~?~'--fl Phone: '~d~-~7 7
Owner: /~57/~ ~-~'~ Phone: ~' qOg '~~ 77
Ad,ess: q~q -~ · ~ CiW: '~ ~J Zip:.
Mchitec~ngineer: ~ Phone:
Con,actor ~ State License g: Exp:. Phone:
Ad,ess: CiW:. Zip:.
LEGAL DESC~ON: Lot: Block: Subdi~sion:
CL~L~ CO~ P~CEL ~BER:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA__MC __ # Exp. Date:
~Res OF WORK: SIZE~..ALUATION: ~/~.~qb~s ,-~
idential [] NewConstr. [] Re-roof [] Stove '~f ~SF.~$.~/SF.=$~
[] Multi-family [3 Addition [] Move [] Garage 2~,X _~_.E.~SF. ~ $~/SF. =
[] Commercial [] Remodel [] Demolition [] Deck¢~,% !~;~27 ~,c,,SF.~$ ~ff~70*'~ /SF.=$~~O~
[] Repair [] Sign [] Other t~ewo~o' TOTAL VALUATION ~ $
BRIEF DESCRIPTION OF TIlE PROJECT: ~7~/9[/h"ff ~- &Y---~)v/~ot~ ~ ~-~.3~L:~t~q/O
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type:
No. of Stories: [ Lot Size: D-~))<~/ Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Existins lot coveras~ __ % & Proposed lot covera~,e __% = Total lot coverage %
APPROVALS:
PLAN:
PLANNING USE ONLY: BLDG: --
DPWU:
FIRE:
ESAJWetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pemait application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility lo determine what permits are req~~nd t~at l must obtain such permits prior to work.
T:WORMS~APPSXBuildingperrnit.wpd Apphcant~,~/ C,~' _/~,~/' U Date: ~,--_~,_~) 7-~)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUE~.~ ~ ~z.[~_ ~
Date~ Time Received by, ~ (phone, person)
Location of Work to be inspected ~'C;~q ~ '-~ I~'~.._ I I
Name of person requesting inspection "1~1,'~- ~ ~--~.l')_~_l~J~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. ~/_ <~"~
Sewer Foundation_C~=ra~Chimney~ Plumbing Final Sewer Excav. Other
INSPECTION NOTE~.~ .
Inspected: Date ,_~1~3/~)~.~ e~/~ I By
/
RESTORATION REQUIRED ...... YES/ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I--IAsphalt [~PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~JILIJIIVU I-'t"l~lYll I ISSUED: 3/20/2002 PERMIT NO: 13293
OWNER/APPLICANT PROPERTY LOCATION
424 OAK S
RICK SURRATT
P. O. BOX 3044 Lot: SO 61' OF 20
SEQUIM, WA98382 Block: 87 [] Long Legal
360/681-0421 Subdivision: TPA
T: S: Parcel No: 063000008772000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206~000-0000 360/000-0000
PROJECT INFO
Project Value: $1,200.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 "~
Occupancy Type: Garage: 0 1"'5
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: (,~
PROJECT NOTES
TEAR OFF, FELT, COMP
ADD COPPALA FOR VENTING
RECEIPT#8851
FEES ASSESSMENT
Building Permit: $44.85 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $49.35
Plumbing: $0.00 AMOUNT PAID: $49.35
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction er work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-.4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT 15 UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE [ DATE }yEsACCEPTED[ NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER